| NPI | 1700154622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINAL GHANSHYAM PATEL Optometrist 215-601-9620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002360) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |