| NPI | 1669680476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT BOUCHARD BEREND VOORTHUIS President 202-363-5087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP 826) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |