| NPI | 1083908487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA WINCEK BATESON President 723-349-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG001265) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: PA OEG001265) |
| 152WP0200X Optometrist, Pediatrics (Licence: PA OEG001265) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |