| NPI | 1427031178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY C DAVIS Owner Administration 724-547-8199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1100X Technician/Technologist, Ophthalmic |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2020-08-22 |