| NPI | 1902625932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS JOHNSON President 812-345-4912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |