| NPI | 1538265145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JING GUO Director 7039-883-0738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000958) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP1000013) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |