| NPI | 1457540205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RICHARD LANDER Owner 717-747-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD026838E) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: PA 6000006434) |
| 152W00000X Optometrist (Licence: PA OEG000209) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2010-01-06 |