| 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 |