| NPI | 1568797132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RHEA CARRANO Office Manager 703-231-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA 0618001761) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |