| NPI | 1669789517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE Z KIM Director/Owner 614-861-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: OH 35038852) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |