| NPI | 1710991708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JOY UMLANDT Owner/Optometrist 276-935-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0601002211) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-01-15 |