| NPI | 1962556191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY DAVIS Administrator 412-731-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD040414E) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-07-09 |