| NPI | 1679673495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON B CUNNINGHAM President/Owner 765-342-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002989b) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18001572b) |
| 152W00000X Optometrist (Licence: IN 18003161b) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-10-02 |