| NPI | 1568408441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA JOHNS Credentialing 814-536-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2019-09-23 |