| NPI | 1205127925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEKUNLE EMMANUEL OLUWADARE Owner 610-800-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT2345) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-29 |