| NPI | 1174619373 |
|---|---|
| Other Name | WESTERN RESERVE VISION CARE HUDSON |
| Entity Type | Organization |
| Authorized Contact | MARY JO STIEGEMEIER President / CEO 330-650-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 3694) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-07-02 |