| NPI | 1255473005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER V. MOGYORDY Owner 440-892-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4481) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5484) |
| 152W00000X Optometrist (Licence: OH 3207) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2015-07-14 |