| NPI | 1679862957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG C. MCSURDY President 614-457-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4215) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OH 4215) |
| 152WP0200X Optometrist, Pediatrics (Licence: OH 4215) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: OH 4215) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: OH 4215) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-11-17 |