NPI | 1598712127 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG A CASSEY Sole Owner Of Optometric Practice 610-872-6077 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000453) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2014-01-21 |