| NPI | 1982863684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL KEITH MARTIN Manager 540-776-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: VA 1434) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |