| NPI | 1922060979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA PORTER MAYHEW Secretary Receptionist 540-586-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0601000565) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2008-03-06 |