| NPI | 1578665717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN S JOHNSON Administrative Manager 937-853-2854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35-026034) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2011-09-14 |