| NPI | 1578556148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA HAUSZ Practice Administrator 317-881-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 0200012576570) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2016-03-16 |