| NPI | 1588946206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE CLARK Chief Financial Officer 804-287-4200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001401) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |