| NPI | 1891791521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNIELLE J KERNER President 757-440-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: VA 0101052595) |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2022-07-21 |