| NPI | 1083917819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY LARAINE SPROUT Optometrist 740-374-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 5542) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |