| NPI | 1962696328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES I BUSACK Administrator 610-378-1348 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WC0802X Optometrist Corneal and Contact Management | |
| 152WL0500X Optometrist Low Vision Rehabilitation | |
| 152WV0400X Optometrist Vision Therapy | |
| 207WX0009X Ophthalmology Glaucoma Specialist | |
| 207WX0107X Ophthalmology Retina Specialist | |
| 207WX0109X Ophthalmology Neuro-ophthalmology | |
| 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist | |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2023-06-23 |