Jerry D Warthman, O.d., LLC

NPI #1053577510 in Anderson, Indiana

Provider Information

NPI Number: 1053577510
Entity Type: Organization
Organization Name: Jerry D Warthman, O.d., LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 4, 2008
Last Updated: Apr 28, 2010

Practice Location

Address: 1923 W 53RD ST
City: Anderson
State: Indiana
ZIP Code: 46013-1109
Phone: (765) 644-0060

Authorized Official

Name: DR. JERRY DALE WARTHMAN, OD
Title: OWNER
Phone: (765) 644-0060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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