| NPI | 1578602876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GERNAT Office Manager 412-359-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: PA OEG000609) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEOO8157P) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2011-07-01 |