NPI | 1447320668 |
---|---|
Former Legal Business Name | ALAN LENIG O.D. INC. |
Entity Type | Organization |
Authorized Contact | KREGG C KOONS President/Owner 765-289-4727 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002701) |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2006-11-08 |
Last Update Date | 2012-11-08 |