| NPI | 1093144859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA ROSS Optometrist/President 812-523-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002723) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |