| NPI | 1134179591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KIRK VINCETT Owner 724-327-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: PA OE004015P) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |