| NPI | 1508898057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN JANA CALHOUN Lic. O PT Ician 540-721-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101 001548) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |