| NPI | 1194744102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY YOUNG Mgr 937-593-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-04-20 |