| NPI | 1275730525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL LETO Owner 703-790-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101001692) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-08-07 |