| NPI | 1255562377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAGIH A SATAR Owner 812-385-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.010205) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.009184) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2024-03-19 |