| NPI | 1184870164 |
|---|---|
| Other Name | ELLENBOGEN EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN ZIMMERMAN Office Manager 937-335-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH 35100246) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-22 |