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 |