| NPI | 1306071766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT COLUMBUS VP 570-824-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA oeg0001371) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA md072154l) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |