| NPI | 1124136189 |
|---|---|
| Former Legal Business Name | PERRY EYE CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G WOOD President 330-837-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-06-21 |