| NPI | 1316210693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DOUGLAS BURDICK President 317-209-8429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001842A) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |