| NPI | 1548605124 |
|---|---|
| Doing Business As | BLOOMINGTON EYECARE |
| Entity Type | Organization |
| Authorized Contact | GREGG L OSSIP Owner 317-254-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001887) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2014-10-09 |