NPI | 1447589015 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA DOWLING Optometrist 570-251-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA OEG001391) |
Enumeration Date | 2009-12-10 |
Last Update Date | 2009-12-30 |