| NPI | 1720132954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELICIA WRIGHT Practice Manager 703-361-3128 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101036560) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-12-07 |