NPI | 1023423787 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE SUZANNE WOODALL President 812-797-1570 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003788A) |
Enumeration Date | 2014-06-20 |
Last Update Date | 2014-06-20 |