| NPI | 1902045446 |
|---|---|
| Doing Business As | LAFAYETTE VISION CARE |
| Entity Type | Organization |
| Authorized Contact | DUANE A GILLAM Owner 765-448-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001683B) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2016-05-24 |