| NPI | 1508277542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFNIE JONES Office Manager 317-805-4595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2017-03-31 |