| NPI | 1427329499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON PARKER BLEVINS Doctor/President 540-977-1157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002069) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |