| NPI | 1316122724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIMUL Y SHAH Owner/O PT Ometrist 937-642-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: OH 5091) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2013-06-04 |