| NPI | 1871628347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL E LANTER President 317-844-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 0111609909) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 0004923421) |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 0111609909) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2012-04-18 |