| NPI | 1508817248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R. CANADY CEO 740-446-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| 152WV0400X Optometrist, Vision Therapy | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-11-02 |