City Optical Co., Inc.

NPI #1003805185 in Bloomington, Indiana

Provider Information

NPI Number: 1003805185
Entity Type: Organization
Organization Name: City Optical Co., Inc.
Primary Specialty: Optometrist
Enumeration Date: Oct 20, 2005
Last Updated: Oct 27, 2021

Practice Location

Address: 2552 E 3RD ST
City: Bloomington
State: Indiana
ZIP Code: 47401-5338
Phone: (812) 332-3432

Authorized Official

Name: DR. LARRY S TAVEL, MD
Title: PRESIDENT
Phone: (317) 924-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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