Roger's Wabash Optical, LLC
NPI #1528065166 in New Albany, Indiana
Provider Information
- NPI Number
- 1528065166
- Entity Type
- Organization
- Organization Name
- Roger's Wabash Optical, LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jun 28, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 612 STATE ST
- City
- New Albany
- State
- Indiana
- ZIP Code
- 47150-4734
- Phone
- (812) 945-0440
Authorized Official
- Name
- MR. ROGER KEITH WYATT
- Title
- PRESIDENT
- Phone
- (812) 945-0440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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