NPI | 1265736706 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY DENNIS OXENBERG Optometrist/Owner 717-394-3798 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG001229) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: PA OEG001229) |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: PA OEG001229) | |
152WP0200X Optometrist, Pediatrics (Licence: PA OEG001229) | |
152WS0006X Optometrist, Sports Vision (Licence: PA OEG001229) | |
152WV0400X Optometrist, Vision Therapy (Licence: PA OEG001229) | |
152WX0102X Optometrist, Occupational Vision (Licence: PA OEG001229) | |
Enumeration Date | 2010-12-24 |
Last Update Date | 2010-12-24 |