| NPI | 1356564306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GLENN SCHALLER Optician Owner 419-351-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OH SC4955) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2009-02-04 |