| NPI | 1881778496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P FOUTY CFO/Authorized Representative 812-232-0564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207N00000X Dermatology | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-04-20 |