NPI | 1912034885 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY LESZEK President 814-838-0550 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA 0E007024T) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-02-27 |
Last Update Date | 2024-02-29 |