NPI | 1417033861 |
---|---|
Former Legal Business Name | MARK V GRAYTOK |
Doing Business As | GRAYTOK FAMILY VISION CARE |
Entity Type | Organization |
Authorized Contact | TERESE FITZMAURICE JUPENA Billing Coordinator 723-834-8033 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG001356) |
Enumeration Date | 2006-10-28 |
Last Update Date | 2024-09-17 |