| NPI | 1871686816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG L OSSIP Owner 317-254-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001899) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01060284) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-10-09 |