| NPI | 1740690684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA WISEMAN President/O PT Ometrist 301-529-9629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA988) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0601001497) |
| 152W00000X Optometrist (Licence: DC OP1000262) | |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: MD TA988) | |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: VA 0601001497) | |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: DC OP1000262) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-08-20 |