NPI | 1629256441 |
---|---|
Entity Type | Organization |
Authorized Contact | VENKAT MANORANJAN REDDY Physician/Owner 757-622-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101051339) |
Enumeration Date | 2008-02-04 |
Last Update Date | 2011-12-08 |