| NPI | 1417259532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI ROUSE Director Of Managed Care 513-354-5827 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2467) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |