| NPI | 1104578509 |
|---|---|
| Doing Business As | PEARLE VISION EXTON PA |
| Entity Type | Organization |
| Authorized Contact | AJAY K GAUBA Member 214-770-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |