| NPI | 1487127163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS SMILEY Owner 614-832-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| 152WP0200X Optometrist, Pediatrics | |
| 152WC0802X Optometrist, Corneal and Contact Management | |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2019-09-13 |