NPI | 1366628950 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES T. RHOADES Optometrist 724-583-8338 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA 05416) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2008-01-14 |