| NPI | 1245305143 |
|---|---|
| Doing Business As | SMITH-BRIDENSTINE FAMILY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | GEORGE E MCCORD Shareholder 317-845-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2009-05-16 |