NPI | 1316161151 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD JOHN FERRARO VP 703-978-5170 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 103372) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA 103372) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |