| NPI | 1003088626 |
|---|---|
| Former Legal Business Name | PERSONAL EYECARE |
| Entity Type | Organization |
| Authorized Contact | ROXANNA T POTTER President 419-705-5143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5738/T2652) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2019-12-27 |