| NPI | 1801052618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOKMAS D. CLARK Owner/President 812-479-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002530A) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |