| NPI | 1205161247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA M NEYHART Billing Manager 419-578-7083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |