| NPI | 1639447063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PAUL HAWKER Owner 812-256-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003503A) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: KY KY-1471) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |