NPI | 1053990531 |
---|---|
Entity Type | Organization |
Authorized Contact | SALLY G PRIMUS Owner, Provider 317-400-3814 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
Enumeration Date | 2021-04-03 |
Last Update Date | 2023-05-26 |