NPI | 1548327927 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES RUTAN Optician President 330-856-4089 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: OH 217sc) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-08-22 |