| NPI | 1316351679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAVLICA President 717-735-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| 152W00000X Optometrist | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-11-12 |