| NPI | 1518092659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON DAVID BLACKBURN President 302-998-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: DE I3-0001218) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DE I3-0001218) |
| 152WP0200X Optometrist, Pediatrics (Licence: DE I3-0001218) | |
| 152WS0006X Optometrist, Sports Vision (Licence: DE I3-0001218) | |
| 156FX1800X Technician/Technologist, Optician (Licence: DE I3-0001218) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-02-27 |