NPI | 1043717945 |
---|---|
Doing Business As | SOUTH SHORE EYE CARE |
Entity Type | Organization |
Authorized Contact | ZACHARY TAYLOR JONES O PT Ometrist 219-902-4176 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003544A) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2018-09-20 |