NPI | 1902013824 |
---|---|
Doing Business As | PENN OPTICAL VISION CARE |
Entity Type | Organization |
Authorized Contact | RICHARD BRADLEY FUSS President 410-488-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
152WP0200X Optometrist, Pediatrics | |
152WS0006X Optometrist, Sports Vision | |
152WV0400X Optometrist, Vision Therapy | |
152WX0102X Optometrist, Occupational Vision | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2008-05-12 |