| NPI | 1164423869 |
|---|---|
| Other Name | THE OPTIC SHOPPE |
| Entity Type | Organization |
| Authorized Contact | RONALD J BENSING Partner 717-738-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000376 OEG000476) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2008-05-23 |