NPI | 1710229067 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS MARSHALL WHITE O PT Ometrist 757-814-1285 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1166-3) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2014-06-21 |