| NPI | 1699361444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JEAN MULLEN Practice Manager Licensed Optician 440-613-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |