NPI | 1932278264 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY DAVID DAILEY Optometrist And Owner 419-422-1615 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OH 3788, T-737) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2008-06-06 |