| NPI | 1982065181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY L GARNER Pres/CEO 260-569-9550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2018-02-21 |