| NPI | 1669468963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J. ROCKLIN Treasurer 740-474-6039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2010-10-26 |