| NPI | 1396921177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT SHIFFERT President Owner 215-538-0538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA PA06268) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-07-18 |