| NPI | 1326323502 |
|---|---|
| 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 |