| NPI | 1073708483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MICHAEL FORNEFELD President 812-331-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: IN 01034586A) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2022-12-19 |