| NPI | 1134477144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L. CONSBRUCK Optometrist 215-378-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 6025/T2940) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2012-08-22 |