| NPI | 1275735870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E MERRICKS Managing Optician 540-342-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA 106442) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |