| NPI | 1326270752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LYNN MCFARLAND Owner/President 937-219-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5491) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |