| NPI | 1235390576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WESTFALL ERDMANN Optometrist 574-264-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 18001767A&B) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |