NPI | 1356807713 |
---|---|
Other Name | CRYSTAL KASPER |
Entity Type | Organization |
Authorized Contact | CRYSTAL KASPER OMRAN Owner/Optometrist 219-742-3661 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2019-02-11 |
Last Update Date | 2024-07-15 |