| NPI | 1821135971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE B FREDERICKSON Owner Doctor 724-837-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA oeg000580) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-02-15 |