NPI | 1548440308 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER MARIE LAWRENCE Owner 717-848-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG001160) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA OEG001160) |
Enumeration Date | 2007-11-09 |
Last Update Date | 2013-03-27 |