| NPI | 1700403169 |
|---|---|
| Doing Business As | LILLY OPTOMETRIC |
| Entity Type | Organization |
| Authorized Contact | KRISTI K WEATHERLY President 724-544-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |