NPI | 1558338905 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS D ONEY O PT Ometrist 330-455-8629 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4133/T1077) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 4133/t1077) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2020-04-01 |