| NPI | 1609914829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REY G MALONJAO President Ldo 937-237-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist (Licence: OH S5371) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 4554) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2025-09-11 |