| NPI | 1548594856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA L ORTIZ Owner/ Managing Member 304-465-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 1067-OD) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2013-10-07 |