| NPI | 1265540447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD S SEVACHKO Owner/President 330-758-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35031136) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-11-09 |