| NPI | 1336312636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA J ANDERSON President/O PT Ometrist 317-859-8141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002664) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |