| NPI | 1386756013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI ROBIN SUSKOVICH President 317-826-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002711A) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-08-19 |