| NPI | 1568898690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE PETERSON Optometrist/Owner 814-833-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000497) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |