| NPI | 1275550089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC W KELLER Owner 703-369-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: VA 967) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2008-06-20 |