| NPI | 1043701964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY J GAO Aboc 412-447-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WS0006X Optometrist, Sports Vision | |
| 152WX0102X Optometrist, Occupational Vision | |
| 156F00000X Technician/Technologist | |
| 156FC0800X Technician/Technologist, Contact Lens | |
| 156FX1202X Technician/Technologist, Optometric Technician | |
| 156FX1800X Technician/Technologist, Optician (Licence: 223485) | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2019-07-08 |