| NPI | 1538524509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN GREENE LUCAS Optometrist 804-270-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001866) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2016-07-13 |