| NPI | 1750559068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J JEFFREY HUGHES Owner 260-356-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002003b) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18002003b) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2015-09-09 |