| NPI | 1629360151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAIR S ELIAS Optometrist 574-386-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: IN 18003629A) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |