| NPI | 1275588477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL KENNETH LALL-TRAIL President 757-461-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 010131877) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2018-10-17 |