| NPI | 1578760468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN MENTESSI President 440-877-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5054) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2016-01-13 |