| NPI | 1649316936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M CROWLEY Owner 812-474-1010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003248A) |
| 207W00000X Ophthalmology (Licence: IN 01029433) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-12-23 |