NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1104255942 |   |   |   | EYECARE INDIANA | 9795 CROSSPOINT BLVD | INDIANAPOLIS | IN | 462563354 |
1093121659 | TERRY | BRANDON | NICHOLAS |   | 9795 CROSSPOINT BLVD | INDIANAPOLIS | IN | 462563354 |