| NPI | 1376294900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY KAUH Provider/Owner 614-397-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| 261QS0132X Clinic/Center Ophthalmologic Surgery | |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |