| NPI | 1376914234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA JAHNKE Owner/Optometrist 765-346-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003798) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2016-12-07 |