NPI | 1316567134 |
---|---|
Doing Business As | SCHERERVILLE EYECARE & CONTACT LENS CLINIC |
Entity Type | Organization |
Authorized Contact | PHILLIP KOULTOURIDES President 219-670-6589 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2020-04-22 |
Last Update Date | 2020-04-22 |