NPI | 1235311580 |
---|---|
Entity Type | Organization |
Authorized Contact | ELISABETH KEUNROK KIM President 703-878-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001424) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2007-11-28 |