| NPI | 1295059939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A OBERG Optometrist 440-429-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 1919710) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |