| NPI | 1700060050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE FOX Owner 419-562-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5307) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH 6421770001) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2011-10-19 |