| NPI | 1861585655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L EGGEBRECHT Optometrist Owner 260-459-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-11-14 |