| NPI | 1689146508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER C CAMPANELLA Owner 610-678-4552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2020-08-31 |