| NPI | 1104267269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA HORNBERGER Owner/Sole Member LLC 812-637-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003378B) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2024-02-28 |