| NPI | 1235472481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA JODREY Ohio Licensed O PT Ician 513-528-0496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: OH 7338S) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2014-08-07 |