NPI | 1861626988 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN CARL JACKSON Optometrist/Owner 202-829-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: DC 615) |
Enumeration Date | 2009-05-04 |
Last Update Date | 2009-05-04 |