| NPI | 1568687143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WAYNE HASTINGS Owner President 540-381-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101000816) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |