| NPI | 1497025266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHI NGUYEN Member 610-264-8537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WL0500X Optometrist, Low Vision Rehabilitation | |
| 152WP0200X Optometrist, Pediatrics | |
| 152WV0400X Optometrist, Vision Therapy | |
| 152WX0102X Optometrist, Occupational Vision | |
| 156FC0800X Technician/Technologist, Contact Lens | |
| 156FC0801X Technician/Technologist, Contact Lens Fitter | |
| 156FX1202X Technician/Technologist, Optometric Technician | |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |