NPI | 1306561709 |
---|---|
Doing Business As | OSU-AJ HIS VISION EYE CARE |
Entity Type | Organization |
Authorized Contact | ERIC JOHN POLAK Vice President Of Admin/Finance 918-561-8422 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2022-10-07 |
Last Update Date | 2022-10-07 |