| NPI | 1871861989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOFIK MOHAMMED ALI Owner 571-335-4085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center Ophthalmologic Surgery (Licence: VA 0101250397) |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2023-12-05 |