| NPI | 1679016893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AHMAD MORSHEDI Optometrist 804-549-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY KY2047DT) |
| Enumeration Date | 2016-11-19 |
| Last Update Date | 2016-11-19 |