| NPI | 1912461807 |
|---|---|
| Doing Business As | INDEPENDENT OPTICAL |
| Entity Type | Organization |
| Authorized Contact | GERALD SUNKIN Owner 330-338-9067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-03-29 |