| NPI | 1619940343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA LEE Executive Director 610-660-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA06655300) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002793) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2014-07-03 |