| NPI | 1639251937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE D ROMANO Owner 757-569-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101002217) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-06-20 |