| NPI | 1609055664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW M. DODD Optometrist 330-794-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 5302) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2009-03-05 |