| NPI | 1558305219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH L THOMPSON Credentialing 215-342-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OE005574) |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-01-07 |