| NPI | 1619149945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER V. MITREV President/CEO 757-382-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101222101) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-12-22 |