| NPI | 1275678765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL HOWARD MCGAHEN President 717-264-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000370) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA OEG000370) |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA OEG000370) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2017-04-03 |