| NPI | 1164895611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CUSSATT Owner 570-455-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: PA 21950) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |