| NPI | 1831129790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LYNN SHEARER Director Of Operations 317-817-1976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2026-05-06 |