| NPI | 1528117801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM HOPKINS Billing Administrator 757-583-5826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: VA 0101016600) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-04-20 |