| NPI | 1548221302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENIC C IZZO President 610-372-0712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2016-03-14 |