| NPI | 1245261833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C GROSS President 606-324-2451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-12-05 |