| NPI | 1649359654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS N FITTIPALDI Owner/Optician 215-860-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |