NPI | 1184882797 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA ROBERTS DOUGLAS Credentialing 866-551-0232 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA oeg000494) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2014-09-11 |