| NPI | 1093999609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T LEE Partner 574-233-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2017-07-12 |