| NPI | 1033100805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CLARK CHRISTIE Owner Physician 724-772-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA MD037014E) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2013-07-03 |