| NPI | 1194865337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORILEE KROHNE O PT Ician 317-782-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: 01033557A) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-09-09 |