| NPI | 1194099093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON ALVIE MOATS President 330-297-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 3555 T1593) |
| Additional Taxonomies | 261Q00000X (Licence: OH 3555 T1593) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |