| NPI | 1063608628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS JAHOVIC President/O PT Ometrist 219-942-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003033A) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2012-03-12 |