| NPI | 1881862696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE VELAZQUEZ Office Manager 610-437-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000893) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |