| NPI | 1649591082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN SMOOT Optometrist 812-583-9203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003555A) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: IN 18003555A) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2015-05-19 |