| NPI | 1770639742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTRAM MAXWELL BROWN Owner 804-222-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618000573) |
| Additional Taxonomies | 152WX0102X Optometrist, Occupational Vision (Licence: VA 0618000573) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |