| NPI | 1902881576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI KURTZ Business Manager 610-376-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2022-10-21 |