| NPI | 1447491592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY M WOODRUFF Office Manager 574-232-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002552B) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-11-18 |