| NPI | 1508033622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F. BRIGHAM President 260-422-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001470) |
| Additional Taxonomies | 152WV0400X Optometrist Vision Therapy (Licence: IN 18001470) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2011-05-19 |