| NPI | 1144302381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALEXANDER SHADWICK Owner/President 513-422-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 3753 T645) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2009-10-19 |