| NPI | 1831268150 |
|---|---|
| Doing Business As | IMAGE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | KENNETH W ABBOTT President Owner 574-294-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-10-19 |