| NPI | 1841249265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY WIESMAN Office Manager 740-637-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2025-09-10 |