NPI | 1558523886 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDY L DECKARD Owner/Optometrist 812-332-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003450A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002304A) |
Enumeration Date | 2008-06-27 |
Last Update Date | 2022-06-13 |