| NPI | 1447444757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL E ALWOOD Practice Administrator 614-866-9134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH pending) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2025-02-27 |