| NPI | 1407909658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL LAWRENCE WATKINS President 219-885-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01039743A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036086767) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2010-11-09 |