| NPI | 1730225772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ELAINE BOWMAN Optometrist President 513-254-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OH5375) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1602DT) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |