| NPI | 1831422690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MAHLERWEIN President 740-652-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 122300000X Dentist |
| 213E00000X Podiatrist | |
| 231H00000X Audiologist | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |