NPI | 1740318542 |
---|---|
Entity Type | Organization |
Authorized Contact | ABDULWAHED HAMOUD QOTAYNAH Owner 440-974-6793 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5148 T2047) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2020-08-22 |