| NPI | 1912151648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF DURKIN Owner 330-867-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: OH 3937) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |