| NPI | 1235274929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE J. BALOGH Vice President 219-924-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002093A) |
| 152W00000X Optometrist (Licence: IN 18001942A) | |
| 152W00000X Optometrist (Licence: IN 18002093B) | |
| 152W00000X Optometrist (Licence: IN 18001942B) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2014-10-14 |