| NPI | 1649520263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL T. WEIDENTHAL President 216-464-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35023014) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2024-07-05 |