| NPI | 1902899255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIAN MONICA KAZ Owner/President 757-875-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101058286) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2008-09-04 |