| NPI | 1174070916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA YVETTE JACKSON Owner 440-305-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: OH 03151) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH opt.6027) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |