| NPI | 1942528427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M KOWAL Owner/Optician 804-307-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101002137) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |