NPI | 1699121772 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL E ZALAR Owner / O PT Ometrist 540-604-7840 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WV 2006-IOD) |
Enumeration Date | 2016-05-09 |
Last Update Date | 2016-08-01 |