| NPI | 1952439234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET S MCCALLA-JACKSON President 812-336-5432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 56000371A) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2012-10-16 |