| NPI | 1457399834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA ALLEN CEO 317-841-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-07-02 |