| NPI | 1447467881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CORINNE VOORTHUIS-GOLDMAN President 703-683-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 06018000927) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |