| NPI | 1245439231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA S LONG Secretary 812-332-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002841B) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002828B) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2008-12-01 |