| NPI | 1275600454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN A CASAMENTO O PT Ometrist 814-726-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FC0800X Technician/Technologist Contact Lens |
| 156FC0801X Technician/Technologist Contact Lens Fitter | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |