| NPI | 1679747539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE A JOHNSON Licensed/Dispensing O PT Ician 216-226-8795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |