| NPI | 1134239825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDER MACHA Owner 765-649-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy |
| 152W00000X Optometrist (Licence: IN 18002944A) | |
| 152WP0200X Optometrist, Pediatrics | |
| 152WS0006X Optometrist, Sports Vision | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-06-07 |