NPI | 1235440421 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA A. DYDA-SCHMID Optometrist 804-360-1590 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001740) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2010-06-23 |