| NPI | 1538482971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA BUTRESE SULLIVAN Owner 757-818-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001512) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |