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 |