NPI | 1144261108 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON E DUCHIN Administrator 419-865-3866 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 332H00000X Eyewear Supplier |
Enumeration Date | 2006-06-09 |
Last Update Date | 2008-02-06 |