| NPI | 1073282356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M SCOTT Chief Clinical And Revenue Officer 317-880-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2023-09-07 |