| NPI | 1649141292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCDERMOTT Optometrist 215-934-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 152WS0006X Optometrist, Sports Vision |
| 152WV0400X Optometrist, Vision Therapy | |
| 152W00000X Optometrist | |
| 152WL0500X Optometrist, Low Vision Rehabilitation | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |