| NPI | 1558508952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP LARRABEE Optometrist/President 757-880-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000324) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: VA 0618000324) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2018-05-08 |