| NPI | 1851484125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA G. TEMPLE Owner President 574-267-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002882) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2008-07-03 |