| NPI | 1467858159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG L OSSIP Owner 317-254-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001763) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003858) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2016-02-29 |