| NPI | 1528266517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CHATLOS Office Coordinator 317-817-1762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01027083) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2012-12-18 |