| NPI | 1427506484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY KINTNER Doctor 574-255-3188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 18003839A) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |