| NPI | 1871743716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN ALAN MCCLAIN President 812-279-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: IN 0133742008-000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003463) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2018-08-27 |