| NPI | 1124105325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E. BEAVER Optician/Owner 570-322-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: PA not applicable) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-02-17 |