| NPI | 1669482600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH PVLAT BRANNON President/O PT Ometrist 540-785-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000074) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-05-12 |