| NPI | 1992090096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN DOMIANO President 570-457-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: PA 30685) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG000082) |
| 156FC0800X Technician/Technologist, Contact Lens (Licence: PA 30685) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |