| NPI | 1225250566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE GOLDMAN Owner 610-896-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: PA 6000000032) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA 6000000032) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-07-18 |