| NPI | 1639230683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD ELLINGTON Owner Optician 804-526-6119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: VA 585) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-10-17 |