NPI | 1649668690 |
---|---|
Entity Type | Organization |
Authorized Contact | ARASH MANSOURI President 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 | 2014-12-29 |