NPI | 1346499100 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA E. JUDSON Owner 812-232-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: IN 18003213A) |
Enumeration Date | 2008-09-16 |
Last Update Date | 2010-05-19 |