| NPI | 1356881262 |
|---|---|
| Doing Business As | MONTICELLO EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHELLE KYSER Owner/Manager 574-583-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002694AB) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |