| NPI | 1588772024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RANDOLPH Owner 703-273-2398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101-001390) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-03-26 |