| NPI | 1497562763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL BATES Billing Specialist 419-720-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-12 |