| NPI | 1447422993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J TARASOVICH Optician 610-326-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: PA 6000001130) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |