| NPI | 1114150968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L GORMAN-MILLER Office Manager 812-423-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002839) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003226) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2012-11-01 |