| NPI | 1508005877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE VERBECK President/Owner 812-423-4984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003218) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2024-03-22 |