| NPI | 1396764684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FOWLER STEWART President 540-265-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001242) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |