NPI | 1275955122 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN IBARRA Medical Biller 215-945-8820 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2014-01-13 |
Last Update Date | 2014-01-13 |