| NPI | 1508165242 |
|---|---|
| Doing Business As | TARA KIRK, OD |
| Entity Type | Organization |
| Authorized Contact | TARA JOANNE WEISBECK KIRK Owner 804-301-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: PA OEG002194) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |