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 |