| NPI | 1194714808 |
|---|---|
| Doing Business As | DR TAVEL FAMILY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | LARRY S TAVEL President 317-924-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003166) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2021-10-27 |