| NPI | 1932263464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE RANDALL JONES Office Manager 804-739-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000115) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-10-06 |