| NPI | 1629276779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTINE JAMES DUSCKAS President 703-642-2432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618-000492) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2008-07-01 |