| NPI | 1700962412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA M YOUNKIN Optician Partner 814-868-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: PA 6000002048) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |