NPI | 1396054458 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY ELMORE President 317-883-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003454) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 18003454) |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: IN 18003454) | |
152WP0200X Optometrist, Pediatrics (Licence: IN 18003454) | |
152WV0400X Optometrist, Vision Therapy (Licence: IN 18003454) | |
152WX0102X Optometrist, Occupational Vision (Licence: IN 18003454) | |
Enumeration Date | 2010-10-06 |
Last Update Date | 2012-03-20 |