| NPI | 1710705371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY WIESMAN Office Manager 740-774-4434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |