NPI | 1700049533 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN A GILLES Optometrist 812-853-8191 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: IN 18002239) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2008-07-02 |