| NPI | 1548376346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CALHOUN Office Manager 614-798-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Additional Taxonomies | 152WS0006X Optometrist, Sports Vision |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |