| NPI | 1912991225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LAUGHLIN Director Of Revenue 216-831-5704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2021-03-24 |