| NPI | 1285786095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LYNN STUTLER Owner 330-821-5476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OH 6204) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 3920) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-11-04 |