| NPI | 1306077839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D. IRVIN Owner 812-401-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003164) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003181) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2013-01-21 |