| NPI | 1962540534 |
|---|---|
| Doing Business As | LUXUR-EYES OPTOMETRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | LISA G WALLACE-DAVIS Owner 757-827-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000303) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2011-12-15 |