NPI | 1265515746 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD TERRY BAINBRIDGE President 610-692-2212 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: PA OEG000596) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2008-02-21 |