| NPI | 1245578418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A BLANEY Owner 814-664-8676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000646) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: PA OEG000646) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |