| NPI | 1528218542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT STEWART Optometrist/Owner 419-874-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 3442) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-10-17 |