| NPI | 1528045077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANH-THU N. PHAN President/Director 571-236-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| 152WL0500X Optometrist Low Vision Rehabilitation | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2015-02-25 |