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 |