| NPI | 1366626616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R BAILEY Doctor/Owner 765-529-9364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002774B) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 18002774B) |
| 152WP0200X Optometrist, Pediatrics (Licence: IN 18002774B) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: IN 18002774B) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |