| NPI | 1114017050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J GARCIA Owner 330-477-8531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OH 495ASC) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-08-09 |