| NPI | 1205855236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD R ELLISON President 330-864-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-03-21 |