| NPI | 1801040803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD E ROBBINS Owner 317-398-9793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001544A) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18001544A) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-20 |