| NPI | 1699838318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON A HENDERSON Partner 740-774-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-10-15 |