NPI | 1457654535 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRI ROUSE Director Of Managed Care 513-354-5827 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1819) |
Enumeration Date | 2010-12-13 |
Last Update Date | 2010-12-13 |