| NPI | 1922061688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW M BOYER Owner 812-426-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002611A) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2013-09-16 |