| NPI | 1376910539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA LINKE Finance Manager 703-287-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MD TA2279) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |