| NPI | 1700116365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BENJAMIN JENKINS Owner Optometrist 740-373-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5316) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-03-31 |