| NPI | 1922156504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE HARDINGER Optician 814-453-6791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 6000003221) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |