| NPI | 1679751390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN STRALEY Practice Administrator 317-534-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002361) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |