| NPI | 1609148964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY KEITH WEINGART Optometrist 804-270-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000248) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |