| NPI | 1922200096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN BERG FRITZKE Optician Owner 703-830-6377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101 000766) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2008-10-08 |