| NPI | 1598840803 |
|---|---|
| Doing Business As | 96TH STREET EYE CARE |
| Entity Type | Organization |
| Authorized Contact | HOLLY ANN LEWTON Optometrist 317-585-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |