| NPI | 1821290065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA NEYHART Billing Manager 419-578-7083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2009-02-10 |