| NPI | 1730409160 |
|---|---|
| Doing Business As | DR. JOSEPH OTTO, OD |
| Entity Type | Organization |
| Authorized Contact | JOSEPH OTTO Owner 703-257-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001835) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618001835) |
| 152WP0200X Optometrist, Pediatrics (Licence: VA 0618001835) | |
| 152WS0006X Optometrist, Sports Vision (Licence: VA 0618001835) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: VA 0618001835) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |