| NPI | 1578887931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD DENNIS GERVINSKI Owner 724-335-7331 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OE-005204T) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |