| NPI | 1134542236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KOVATS Manager 440-892-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: OH 6259) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2015-07-28 |