| NPI | 1104002815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT A YOLLES Owner/Physician 317-872-8772 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01025241A) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2010-05-03 |