| NPI | 1376634014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JOHN CAMPANA Medical Director 804-740-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 06180000288) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-03-07 |