Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 0618000338 | VA |
NPI | 1013160795 |
---|---|
Provider Name | Dr. Aukse Wirz |
First Address | Powhatan, VA 23139-6249 |
Second Address | Midlothian, VA 23112-4070 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2008 |
Last Update Date | 21/01/2020 |