| NPI | 1013015429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE REESE Billing COO Rdinator 317-501-3103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002112) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-10-06 |