| NPI | 1255676292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLE STANLEY LANWAY O PT Ometrist 703-971-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000503) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |