| NPI | 1942655477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J WATT Owner 937-274-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: OH 35-071393w) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |