| NPI | 1639111289 |
|---|---|
| Doing Business As | TIFFIN EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | BLAIR YOUNG CLARK President 194-488-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35050815) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 4855T1825) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2022-04-28 |