| NPI | 1962069088 |
|---|---|
| Other Name | DEI OF INDIANA, INC. |
| Entity Type | Organization |
| Authorized Contact | DAVID R BRITZKE Owner/Optometrist 574-876-0974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |