| NPI | 1457334054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA PIEPER Practice Manager 260-969-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-08-05 |