NPI | 1689794794 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL LEE HEDLUND Owner 814-868-0895 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG000644) |
152W00000X Optometrist | |
Enumeration Date | 2007-03-30 |
Last Update Date | 2008-02-21 |