| NPI | 1467623553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE KUPPER CEO 804-775-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: VA 0618000920) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |