| NPI | 1780058396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LLOYD BROWN Owner/Optometrist 419-525-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OH4548) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |