| NPI | 1790098325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BRAUN BOWERS President 757-705-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001612) |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2010-08-13 |