| NPI | 1700987237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LA FRENIERE Vice President 703-569-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0603000237) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-18 |