| NPI | 1164901062 |
|---|---|
| Doing Business As | PHILADELPHIA EYEGLASS LABS |
| Entity Type | Organization |
| Authorized Contact | MARY OSHEA Mgr 646-413-4186 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA 002985) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |