| NPI | 1740799758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BATISTE Owner 814-942-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000080) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-07-21 |