| NPI | 1750456745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE KINNIER MARTIN Office Administrator 434-295-5193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101239819) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-04-26 |