| NPI | 1821168428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAGIH A SATAR Owner/President 812-385-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.010205) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.064073) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-03-19 |