| NPI | 1447286059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN EDWARD DEMICK Owner 740-773-6347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35059420D) |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 207W00000X Ophthalmology (Licence: OH 35078998E) | |
| 152W00000X Optometrist (Licence: OH 4930) | |
| 207W00000X Ophthalmology (Licence: WV 22313) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2008-02-11 |