| NPI | 1902929631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN GRANDAS O PT Ometrist Owner 717-848-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000064) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-04-02 |