| 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 |