| NPI | 1952354136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN RAY STAHL Owner 937-427-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-11-30 |