NPI | 1972889939 |
---|---|
Doing Business As | OPTOMETRIST |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER H. SON President 703-748-1366 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001121) |
Enumeration Date | 2011-10-22 |
Last Update Date | 2018-05-16 |