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 |