| NPI | 1447298062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JAY CERVINO Optometric Doctor 814-234-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1201X Technician/Technologist, Optometric Assistant |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-09-23 |