| NPI | 1275931669 |
|---|---|
| Doing Business As | DOWNERS GROVE |
| Entity Type | Organization |
| Authorized Contact | RYAN DABELOW Director Of Finace And Insurance 317-254-6480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001899A) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |