| NPI | 1881757912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MARTIN Owner 260-416-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WL0500X Optometrist, Low Vision Rehabilitation | |
| 152WP0200X Optometrist, Pediatrics | |
| 152WV0400X Optometrist, Vision Therapy | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-11-17 |