| NPI | 1629201991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J KUNGLE President 301-437-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: MD TA1673) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2010-03-03 |