| NPI | 1467434753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S RAPKIN Part Owner 765-286-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2008-02-22 |