| NPI | 1730578212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BROZA Optometrist 757-345-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0618000779) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |