NPI | 1437283322 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN RAWDIN Owner 610-323-8007 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA oeg000895) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA oeg000895) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2011-12-01 |