| NPI | 1376059956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE E JOHNSON Office Manager 740-774-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 34004327) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |