| NPI | 1396946257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY CURTIS ELDER Owner 434-845-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 433) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: VA 1647) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2009-09-24 |