| NPI | 1730617457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANDANA DHARMAPURI Optometrist 215-290-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008393) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2018-09-14 |