| NPI | 1073781696 |
|---|---|
| Doing Business As | SHADE EYECARE |
| Entity Type | Organization |
| Authorized Contact | MICHELE SHADE Proprietor 610-326-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000169) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA OEG000169) |
| Enumeration Date | 2008-02-16 |
| Last Update Date | 2008-07-16 |