Eyecare Indiana Ll, PC

NPI #1447516604 in South Bend, Indiana

Provider Information

NPI Number: 1447516604
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: 4121 S. MICHIGAN STREET
City: South Bend
State: Indiana
ZIP Code: 46614-2545
Phone: (574) 291-9200

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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