| NPI | 1205907953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAIRD D ACKERSON Chief Executive Officer 614-876-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 3586) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |