NPI | 1174734172 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES REEDER WESLEY President 317-773-5153 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 50001314A) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |