| NPI | 1174858112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REX PARENT Physician /Owner 260-424-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2013-02-18 |