| NPI | 1760562938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA BYRNES Owner 703-361-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0601800450) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001663) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 5456340001) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-11-16 |