| NPI | 1407897812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERI A BAUMAN Office Manager 215-335-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG001388) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: PA OEG001388) |
| 152WV0400X Optometrist, Vision Therapy (Licence: PA OEG001388) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-07-25 |