Eye Associates of Southern Indiana PC

NPI #1336219922 in Jeffersonville, Indiana

Provider Information

NPI Number: 1336219922
Entity Type: Organization
Organization Name: Eye Associates of Southern Indiana PC
Primary Specialty: Ophthalmology
Enumeration Date: Nov 9, 2006
Last Updated: Apr 26, 2013

Practice Location

Address: 302 W 14TH ST
Address 2: #100
City: Jeffersonville
State: Indiana
ZIP Code: 47130
Phone: (812) 284-0660

Authorized Official

Name: MS. RONDA L BOMAN
Title: INS SUPERVISOR
Phone: (812) 258-4510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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