NPI | 1750662979 |
---|---|
Doing Business As | IRVINGTON |
Entity Type | Organization |
Authorized Contact | GREGG L OSSIP Owner 317-254-6480 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001588) |
Enumeration Date | 2011-09-01 |
Last Update Date | 2015-09-22 |