| NPI | 1144462235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY TEAGLE Accounts Manager 765-348-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |