| NPI | 1386949279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA L VAN SCYOC Office Manager 317-462-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: IN 18003533A) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |