| NPI | 1649668690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARASH MANSOURI President/Owner 540-371-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2025-05-27 |