| NPI | 1295241248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH WALLS CFO 317-522-2057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist, Optician | |
| 231H00000X Audiologist | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| 237700000X Hearing Instrument Specialist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2021-11-03 |