| NPI | 1639254311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN M MOORE O PT Ical Tech Billing COO Rdinator 302-934-6620 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 156FC0800X Technician/Technologist Contact Lens |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-12-04 |