| NPI | 1164942900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA LOCY-FOWLER Optometrist/President 440-474-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT6477) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |