| NPI | 1558638973 |
|---|---|
| Doing Business As | PROGRESSIVE EYECARE & EYEWEAR |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CHARLES BIRTWHISTLE President 317-595-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003458) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |