NPI | 1467967794 |
---|---|
Doing Business As | VISION SOURCE TITUSVILLE |
Doing Business As | OIL CITY EYE ASSOCIATES |
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 |