| NPI | 1720146087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGAIL H WATSON Office Manager 757-623-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 028180) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101034703) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |