NPI | 1902163462 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN WALKER Optometrist 610-586-0651 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PA OEG-001360) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2012-04-20 |