| NPI | 1114181021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DEMETRIOS POULOS Optometrist/Owner 440-724-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4581) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |