| NPI | 1407017148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M. DARBY Doctor 434-385-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA 0618001306) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-11-20 |