| NPI | 1366644866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE LACHMILLER Billing Administrator 419-872-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4999T1869) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-07-23 |