| NPI | 1245433705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY A. ROSE Office Manager/Owner 276-628-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101001369) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2013-06-13 |