| NPI | 1700170040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA COLLEEN PAULL Owner / Optometrist 804-263-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001501) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-29 |