| NPI | 1366982167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEELAM M PATEL Optometrist 583-381-8853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 6352/T3268) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: OH 6352/T3268) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2018-12-14 |