| NPI | 1023259272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C GRIFFITH Office Manager 814-835-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD061759L) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG000560) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2010-08-18 |