South Gibson Eyecare Associates, LLC

NPI #1407123128 in Haubstadt, Indiana

Provider Information

NPI Number: 1407123128
Entity Type: Organization
Organization Name: South Gibson Eyecare Associates, LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 23, 2011
Last Updated: Jan 13, 2012

Practice Location

Address: 831 S 9TH AVE
City: Haubstadt
State: Indiana
ZIP Code: 47639-8244
Phone: (812) 615-0277

Authorized Official

Name: JEFFREY D IRVIN, OD
Title: OWNER
Phone: (812) 401-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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