| NPI | 1255581906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOYD PAUL QUILLEN Optician 540-433-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101000503) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |