NPI | 1215997804 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRELL WHITE Owner 440-892-3931 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2006-03-27 |
Last Update Date | 2008-06-25 |