| NPI | 1194885053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S. BAYDA VP 610-588-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 152W00000X Optometrist | |
| 152WX0102X Optometrist, Occupational Vision | |
| 152WP0200X Optometrist, Pediatrics | |
| 152WS0006X Optometrist, Sports Vision | |
| 156FC0800X Technician/Technologist, Contact Lens | |
| 156FC0801X Technician/Technologist, Contact Lens Fitter | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-04-15 |