| NPI | 1982778817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH COBBLE Practice Adminstrator 434-793-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA 0101029961) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |