| NPI | 1780766642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT CAMERON AMSTUTZ President 812-944-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003059A) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2010-12-01 |