| NPI | 1437102076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L GUNDERSON Optometrist 812-481-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 56000357A) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-02-26 |