| NPI | 1639521164 |
|---|---|
| Doing Business As | FREDERICKSBURG EYECARE |
| Entity Type | Organization |
| Authorized Contact | ANDREW K CHAN O PT Ometrist 812-219-6286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002489) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |