| NPI | 1245335611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY STEENSON Executive Director 215-255-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-03-13 |