| NPI | 1205153160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADINA MICHELE BLUM Optometrist/Owner 614-476-2586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OH5290) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-07-27 |