| NPI | 1245628577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS DANIELLE SPENCER Optometrist 703-342-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2438) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |