| NPI | 1639850340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA BANKHEAD Owner 513-332-1993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332G00000X Eye Bank |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |