NPI | 1285667469 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ALAN KRAMER President/Registered O PT Ical 434-821-0268 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: VA 1101002145) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2020-08-22 |