NPI | 1811243769 |
---|---|
Entity Type | Organization |
Authorized Contact | SEEMA YOUSAF Practice Administrator 703-273-6323 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001244) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2017-01-18 |