| NPI | 1912996091 |
|---|---|
| Doing Business As | DRTAVEL FAMILY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | LARRY S TAVEL President 317-924-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 01022315) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2024-11-04 |