| NPI | 1093903619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD R COERS Owner/President 812-418-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002988B) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2021-11-12 |