| NPI | 1013964535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY F WILKINSON Billing Manager 215-938-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD029289E) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG000964) |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2016-09-27 |