| NPI | 1326250945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB L MCCLINTOCK Office Mgr 717-249-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA 0EG000411) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA 0EG000260) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-10-15 |