| NPI | 1578576104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY K LEE President 215-635-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: PA ABOC28150) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001630) |
| 152W00000X Optometrist (Licence: PA OEG001452) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-06-26 |