| NPI | 1811650146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHAB MOTAMEDI Physician/Owner 703-241-0778 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |