NPI | 1821478736 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL CHILDS Owner/Manager 412-772-1473 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2020-07-15 |