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 |