NPI | 1922421627 |
---|---|
Entity Type | Organization |
Authorized Contact | BINH D THAN Optometrist O.D. 267-519-7550 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL OPC5017) |
Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: PA OEG002887) |
Enumeration Date | 2014-01-31 |
Last Update Date | 2015-08-10 |