| NPI | 1710179254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL MARIE BARKER Owner 740-942-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4771) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 4771) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2008-01-17 |