| NPI | 1801954250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEUNG WOO HONG Owner 540-454-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001372) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA1854) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |