| NPI | 1932388816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI K OBENAUF Owner 317-577-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002369) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002527) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-12-27 |