| NPI | 1710185822 |
|---|---|
| Doing Business As | THE EYE CENTER OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | PAM BEAVER Practice Administrator 570-275-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-08-22 |