| NPI | 1447650650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA FORD Director 216-541-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OH S2395) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |