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 |