| NPI | 1396915799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL D MATHEWSON Optometrist 419-782-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-13 |