| NPI | 1851331102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALAN MANELLO President 330-821-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 3306/T610) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 3036/T946) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-06-20 |