| NPI | 1811243231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY ANNE OSBORNE Owner/CEO 765-289-1193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN IN18002129B) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002129B) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2014-12-09 |