Family Vision Clinic PC

NPI #1083871297 in Culver, Indiana

Provider Information

NPI Number: 1083871297
Entity Type: Organization
Organization Name: Family Vision Clinic PC
Primary Specialty: Eyewear Supplier
Enumeration Date: May 16, 2008
Last Updated: Mar 25, 2011

Practice Location

Address: 202 N MAIN ST
City: Culver
State: Indiana
ZIP Code: 46511-1516
Phone: (574) 842-3372

Authorized Official

Name: DR. MARK ALAN COUTS, O.D.
Title: PRESIDENT
Phone: (574) 842-3372

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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