NPI | 1326323502 |
---|---|
Doing Business As | MCKENNA FAMILY EYE CARE |
Entity Type | Organization |
Authorized Contact | JOHN D MCKENNA Owner/O PT Ometrist 317-899-1017 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003120B) |
Enumeration Date | 2011-10-19 |
Last Update Date | 2011-10-19 |