| NPI | 1316956030 |
|---|---|
| Doing Business As | EYETIQUE- SQUIRREL HILL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN CHUDNER Owner 360-620-1186 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-11-14 |