| NPI | 1831846369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRFAN ANSARI President 502-682-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-08 |