| NPI | 1689610305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM L MORTON Partner/Od 574-287-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002590) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002128) |
| 152W00000X Optometrist (Licence: IN 18001874) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |