| NPI | 1467967794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J ADSIT Business Manager 814-333-6606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000417) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002385) |
| 152W00000X Optometrist (Licence: PA OEG000659) | |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2018-06-16 |