Southside Center for Sight

NPI #1205204377 in Greenwood, Indiana

Provider Information

NPI Number: 1205204377
Entity Type: Organization
Organization Name: Southside Center for Sight
Primary Specialty: Ophthalmology
Enumeration Date: Sep 8, 2015
Last Updated: Mar 31, 2016

Practice Location

Address: 701 E COUNTY LINE ROAD
Address 2: SUITE 202
City: Greenwood
State: Indiana
ZIP Code: 46143-1071
Phone: (317) 215-2833

Authorized Official

Name: CHRISTOPHER BAUER PESAVENTO, MD
Title: OWNER
Phone: (317) 215-2833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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