NPI | 1205351079 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN A FOREMAN Optometrist/Owner 267-374-5439 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003031) |
Enumeration Date | 2017-08-13 |
Last Update Date | 2017-08-13 |