| NPI | 1538178496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SCHROEDER Physician/Owner 260-422-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-06-01 |