Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 000E4748L | PA |
NPI | 1013060300 |
---|---|
Provider Name | Dr. Wayne H. Link |
First Address | Butler, PA 16001-2754 |
Second Address | Butler, PA 16001-2754 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 08/07/2007 |