| NPI | 1356447007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J HEYNE-THOMPSON Owner & President 219-326-7681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002633 A & B) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-12-17 |