| NPI | 1568673119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HARRISON OWEN O PT Ician 317-243-7397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: IN 0002331748) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-10-09 |