| NPI | 1699808162 |
|---|---|
| Doing Business As | MIDLOTHIAN OPTOMETRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | JORDAN DAVID ROSEN O PT Ometrist 804-379-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001124) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-12-16 |