| NPI | 1558544460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL GRISCHOW Owner/President 330-792-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4457) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-17 |