NPI | 1205805884 |
---|---|
Entity Type | Organization |
Authorized Contact | WADE A HORN Owner President 765-282-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002125) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002518) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2025-08-27 |