| NPI | 1225313661 |
|---|---|
| Doing Business As | GROVE CITY OPTICAL |
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMAS SODERBERG Optometrist 724-458-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002472) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2013-08-29 |