| NPI | 1366475139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E CLARK President/Medical Director 419-874-3125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-09-10 |