| NPI | 1881752095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M BORRELL Accounts Manager 419-475-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 2690T513) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-03-31 |