| NPI | 1720155534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA FALZONE Office Manager 419-882-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332H00000X Eyewear Supplier | |
| 152W00000X Optometrist | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-07-12 |