| NPI | 1972513653 |
|---|---|
| Doing Business As | DEBOER FAMILY EYECARE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J DEBOER President 219-987-3673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002342) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-12-29 |