NPI | 1104238088 |
---|---|
Doing Business As | EYETIQUE -SEWICKLEY |
Entity Type | Organization |
Authorized Contact | BENJAMIN CHUDNER Owner 618-462-9818 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2014-05-27 |
Last Update Date | 2023-11-14 |