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 |