| NPI | 1386760247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JAMES FRASER President 703-256-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101023876) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |