Indiana Vision Clinic, INC

NPI #1497797047 in South Bend, Indiana

Provider Information

NPI Number: 1497797047
Entity Type: Organization
Organization Name: Indiana Vision Clinic, INC
Primary Specialty: Optometrist
Enumeration Date: Jun 11, 2006
Last Updated: Oct 21, 2010

Practice Location

Address: 2004 EDISON RD
Address 2: SUITE A
City: South Bend
State: Indiana
ZIP Code: 46617-1712
Phone: (574) 288-2400

Authorized Official

Name: DR. RONALD MILOVICH, OD
Title: OWNER/OPTOMETRIST
Phone: (574) 288-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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