| NPI | 1902887508 |
|---|---|
| Doing Business As | INDIANHEAD EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | THOMAS ERIC HERZOG Optician/Owner 715-635-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2014-01-16 |