NPI | 1134477144 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH L. CONSBRUCK O PT Ometrist 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 |