| NPI | 1376600882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN D. SMITH Owner 317-501-7872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003321B) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 18003321B) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-05-14 |