| NPI | 1558596247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRISHMA P PATEL Owner 219-845-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003569A) |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2024-02-21 |