| NPI | 1720704869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD GOODGLICK President 202-412-9895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 207WX0109X Ophthalmology, Neuro-ophthalmology | |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2023-01-19 |