| NPI | 1851419956 |
|---|---|
| Former Legal Business Name | PARK PLACE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | RENO L ALESSIO President 440-238-5030 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35085164) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 18-373349) |
| 156F00000X Technician/Technologist (Licence: OH 47905) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-01-12 |