| NPI | 1710049143 |
|---|---|
| Doing Business As | LEADING EDGE EYECARE |
| Entity Type | Organization |
| Authorized Contact | AUDRA WARREN SIEBER President 717-564-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000196) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: PA OEG001334) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-12-21 |