| NPI | 1215265749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EDWARD GERZINA Member/Owner 724-545-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA oet008812) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |