| NPI | 1114426707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE PEDERZOLLI Office Manager 330-913-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 3433T596) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |