| NPI | 1760585327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD NATHANIAL TURNER CEO 330-414-1548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH T2168) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 4075) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |