| NPI | 1326732579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BABCOCK Practice Manager 740-353-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-11-01 |