| NPI | 1538761382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BAKER Administrator 484-434-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |