| NPI | 1144011313 |
|---|---|
| Doing Business As | SUMMER AVENUE EYECARE |
| Entity Type | Organization |
| Authorized Contact | DAVID DEPPEN Director Rcm 937-539-8057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |