| NPI | 1265878946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLOS DARLENE BEGENY-MAHAN Vice President 440-884-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 3839) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 4002) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |