| NPI | 1750349684 |
|---|---|
| Doing Business As | PROFESSIONAL EYECARE ASSOCIATES WEST |
| Entity Type | Organization |
| Authorized Contact | TODD ERIC NIEMEIER President 812-425-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003185A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 4537650001) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-03-10 |