| 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 |