| NPI | 1245315068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P AEY Vice President 330-746-7691 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-03-07 |