| NPI | 1649524729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR MICHAEL MCMULLEN Owner/Optometrist 724-388-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1584) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |