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 |