| NPI | 1639591613 |
|---|---|
| Doing Business As | PELTAN EYE & LASER |
| Entity Type | Organization |
| Authorized Contact | HAROLD LEE PELTAN Organizer 330-461-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2019-11-03 |