| NPI | 1003862459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L BRASS Billing Manager 215-672-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD038937E) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OE5457P) |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2014-10-24 |