| NPI | 1083890172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE E PORTER O.D./President 812-320-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IN 18002637B) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2019-11-11 |