| NPI | 1649599358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIEN VAN President/ Optometrist 703-257-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001869) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |