| NPI | 1780254086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ANTHONY RIVERS Medical Director 202-210-4338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-08-18 |