| NPI | 1396716734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ELLIOTT ATANASOFF President 330-666-6786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4264T023) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-08-22 |