| NPI | 1609088459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W RAIES Owner 740-354-2821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2012-01-11 |