| NPI | 1497279095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB LEVIN Director Billing & Credentialing 215-497-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000944) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |