| NPI | 1336350552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN REDDING BULLARD President 703-370-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101052853) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2010-09-13 |