| NPI | 1679744734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS CAMPANA Practice Owner/Provider 703-534-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101043415) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2010-04-14 |