| NPI | 1992887731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | V K RAJU Owner/Physician 304-598-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 156FX1100X Technician/Technologist, Ophthalmic | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2009-01-06 |