| NPI | 1225395510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA PRICE KOWALESKI President/Owner 317-402-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003178A/B) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |