| NPI | 1023068228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE A FOSTER Owner/Physician 740-594-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 3628) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-05-31 |