| NPI | 1396848891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SELPH JENNINGS Sole Member, President,& Secretary 804-730-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-02-23 |