| NPI | 1538161989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY JOHN BRENT President 717-232-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD020133E) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG000093) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 6000004226) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2018-08-06 |