| NPI | 1659401180 |
|---|---|
| Doing Business As | LIFETIME VISION CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | HOPE D WCISLAK Billing Manager 419-893-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: OH 5163 T2062) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-07-01 |