| NPI | 1467469486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E CLARK President/Medical Director 419-874-3125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |