| NPI | 1497891204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY KRIBLEY Billing Dept Manager 317-920-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 50003538A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 50003538A) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-11-07 |