| NPI | 1851308316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL DEDARIO Owner, Ldo 937-278-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OH 1487SC) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |