| NPI | 1679923031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIS DENNIS GRAJALES O PT Ometrist 484-288-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: PA OEG002888) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-07-15 |