| NPI | 1659418531 |
|---|---|
| Former Legal Business Name | ROY H. MITTMANN O.D. & ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ROY H MITTMANN Director / President 804-378-8784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000405) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-07-21 |