| NPI | 1538569272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABINDA SHAH Optometrist 330-608-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OH 6072) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |