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 |