| NPI | 1467022350 | 
|---|---|
| Doing Business As | MAIN LINE VISION | 
| Entity Type | Organization | 
| Authorized Contact | ROBERT G. HAAK O PT Ometrist 610-688-3433  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist | 
| Enumeration Date | 2021-07-01 | 
| Last Update Date | 2021-07-01 |