| NPI | 1467133900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY GARRETT COO 260-569-9550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |