| NPI | 1902006299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KISTLER WARD Owner/O PT Ician 301-645-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2008-05-15 |