| NPI | 1710232350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN NEBB Co Owner 703-447-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4452) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4357) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |