| NPI | 1558584748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A REITZ Credentialist 812-421-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2025-09-11 |