| NPI | 1720083553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ITZENSON Owner Director Active, Attending 610-825-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OE006115T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00437400) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2021-06-16 |