| NPI | 1578233490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LAPPEN Owner 724-837-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |