| NPI | 1336522887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP THOMPSON President/O PT Ometrist 724-557-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1992) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-08-13 |