| NPI | 1346455748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CHANEL KOVAK Office Manager 540-687-3634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618000238) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-07-07 |