| NPI | 1720301625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P MCDERMOTT Chief Executive Officer 540-741-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2015-09-24 |