NPI | 1609045202 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY S TAVEL President 317-924-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18001649A) |
Enumeration Date | 2008-02-27 |
Last Update Date | 2021-10-27 |