| NPI | 1568581965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L PERRIN Practice Administrator 330-722-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-03 |