NPI | 1972891315 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD M WARNER Regional CFO 419-251-2130 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 207W00000X Ophthalmology |
Enumeration Date | 2011-07-19 |
Last Update Date | 2011-07-19 |