| NPI | 1942349287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L STAHL Billing Dept Mgr 317-920-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 50003538A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 50003538A) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2025-09-11 |