| NPI | 1679615009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEYAM MOJALLAL Owner President 703-723-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001051) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-10-29 |