| NPI | 1699109256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE M TRUEX Insurance Specialist 260-484-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002970A) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2022-07-26 |