| NPI | 1376652933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN LYNN VANARSDALL Owner / President 812-376-3068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 56000172A) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-04-30 |