| NPI | 1982746293 |
|---|---|
| Former Legal Business Name | GAILMARD OPTOMETRIC ASSOCIATES, P.S.C. |
| Entity Type | Organization |
| Authorized Contact | NEIL BENNETT GAILMARD Authorized Official/Owner 219-836-1738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001742AB) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-09-21 |