| NPI | 1073795357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD RAYMOND NOLAN President 812-944-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 18001610A) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2009-05-26 |