| NPI | 1932145349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER L GUHL Owner 757-890-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: VA 0618000215) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618000215) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: VA 0618000215) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: VA 0618000215) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-03-18 |