| NPI | 1609165653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JAMES MAROTTA Optometrist 703-322-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0618000088) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2012-02-23 |