| NPI | 1821116005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC C SIVIGLIA President CEO 717-569-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000298) |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter |
| 156FX1700X Technician/Technologist, Ocularist | |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |