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 |