| NPI | 1891139176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD R PAGE President/O PT Ometrist 614-457-1159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: OH 3367T586) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |