| NPI | 1568480424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAT D DUONG Doctor 215-748-0185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WX0102X Optometrist, Occupational Vision (Licence: PA OEG000507) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |