| NPI | 1417034133 |
|---|---|
| Other Name | THE FAIRBORN VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | STEVEN W SHRODER Doctor 937-878-3941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-05-29 |