| NPI | 1831236298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG L OSSIP Owner 317-254-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002492) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003007) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-10-09 |