| NPI | 1497797047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MILOVICH Owner/Optometrist 574-288-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001593B) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-10-21 |