| NPI | 1053638403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ANDREW YARYAN Owner/Optometrist 765-825-4127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003524A) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2012-09-03 |