| NPI | 1629371711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI ROUSE Director Of Managed Care 513-354-5827 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1384) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |