| NPI | 1710312103 |
|---|---|
| Doing Business As | PERFORMANCE VISION |
| Entity Type | Organization |
| Authorized Contact | SARAH BETH MOREAU Owner 812-474-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003804A) |
| 152W00000X Optometrist (Licence: IN 18003805A) | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2023-05-13 |