| NPI | 1568650331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON R. BOYD President/Optometrist 765-362-3209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0474130001) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2008-04-01 |