| NPI | 1821088923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KENT HASKETT Doctor/Owner 434-572-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000062) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2009-12-07 |