| NPI | 1326173964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL C WAREHAM President 937-433-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |