| NPI | 1881728079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW STICH Owner 703-494-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-11-13 |