| NPI | 1477883577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW L. HARKIN Owner 765-288-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2013-05-21 |