| NPI | 1508983768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MARIE KINROSS President 614-893-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4877 T1742) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2017-05-03 |