| NPI | 1982896957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN M COKER Manager/Owner 812-283-7492 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1408DT) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2022-06-03 |