| NPI | 1205211232 |
|---|---|
| Former Name | HEATHER L SLATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT 6399) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: OH OPT 6399) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-11-03 |