NPI | 1316004260 |
---|---|
Entity Type | Organization |
Authorized Contact | MELANIE A HEMMER Owner Resident Agent 812-480-8812 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 495 & 511) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2024-03-25 |