| NPI | 1609198472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY F AHERN Owner/Doctor 937-652-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 3587) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |