| 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 |