Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OEG002683 | PA |
NPI | 1003162645 |
---|---|
Provider Name | Mr. Eric Francis Knapp |
First Address | Waynesboro, PA 17268-8502 |
Second Address | Waynesboro, PA 17268-8502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2012 |
Last Update Date | 24/03/2017 |