| NPI | 1831270115 |
|---|---|
| Doing Business As | LAKESIDE FAMILY VISION CARE |
| Entity Type | Organization |
| Authorized Contact | AMY NEAL Co Owner 570-266-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000398) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2010-06-04 |