| NPI | 1588849772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY H.A. MARSHALL-UNDERWOOD Optometrist 302-678-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE 1312) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |