| NPI | 1871772798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MICHAEL PAIST Optometrist/President 610-495-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000342) |
| Enumeration Date | 2007-10-27 |
| Last Update Date | 2008-06-24 |