| NPI | 1912123647 |
|---|---|
| Doing Business As | BLUEMOON OPTICAL |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J. SYLVESTER Optometrist 717-267-2583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000954) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |