| NPI | 1346537701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA E. JUDSON Owner/Optometrist 317-745-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003213) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: IN 18003213) |
| 152WV0400X Optometrist, Vision Therapy (Licence: IN 18003213) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |