Eyecare Indiana Ii, PC

NPI #1306197223 in Granger, Indiana

Provider Information

NPI Number: 1306197223
Entity Type: Organization
Organization Name: Eyecare Indiana Ii, PC
Primary Specialty: Optometrist
Enumeration Date: Oct 2, 2012
Last Updated: Nov 16, 2012

Practice Location

Address: 12479 STATE ROAD 23
Address 2: SUITE E
City: Granger
State: Indiana
ZIP Code: 46530-8040
Phone: (574) 277-3077

Authorized Official

Name: TERRI PESCHKE
Title: COO
Phone: (574) 291-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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