| NPI | 1417091612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN BARTOLOTTA Owner 814-472-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000543) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001205) |
| 152W00000X Optometrist (Licence: PA OEG000980) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |