Eyecare Indiana Ll, PC

NPI #1134485360 in Mishawaka, Indiana

Provider Information

NPI Number
1134485360
Entity Type
Organization
Organization Name
Eyecare Indiana Ll, PC
Primary Specialty
Optometrist
Enumeration Date
Apr 2, 2012
Last Updated
Apr 2, 2012

Practice Location

Address
5325 N. GRAPE RD
State
Indiana
ZIP Code
46545-1344
Phone
(574) 277-8121

Authorized Official

Name
TERRI PESCHKE
Title
C.O.O.
Phone
(574) 291-9200

Specialties & Taxonomy Codes

Specialty
Optometrist

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