| NPI | 1720286438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J. DIMINO Office Manager 610-313-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000158) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-04-28 |