| NPI | 1811307762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE J HAMILTON Statutory Agent 513-226-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5554T2468) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |