| NPI | 1386804243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T BAUER Optician 740-373-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 3132-S) |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-07-11 |