NPI | 1609992767 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN E. LOMAN Owner 317-844-7474 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001532) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 18001532) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2012-09-04 |