| NPI | 1962800672 |
|---|---|
| Doing Business As | PROMEDICA PHYSICIANS EYE CARE |
| Entity Type | Organization |
| Authorized Contact | AMY L DWYER Credentialing Supervisor 419-824-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |