| NPI | 1285814558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A FISHBAUGH Optometrist 419-678-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4643 T1418) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2023-12-12 |