| NPI | 1083804140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS SEIDEL Owner / Optician 216-351-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OH 4353SC) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2008-04-08 |