NPI | 1861476210 |
---|---|
Entity Type | Organization |
Authorized Contact | TRICIA PIEPER Practice Manager 260-436-7205 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 50002512A) |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2005-11-30 |
Last Update Date | 2020-08-05 |