| NPI | 1215106117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE DAWN LUVAAS O PT Ometrist 814-834-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA OEG-000619) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |