| NPI | 1922281658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS D ROSS Owner/Optician 570-348-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |