Michael L. Komasinski

NPI #1639395270 in La Porte, Indiana

Provider Information

NPI Number: 1639395270
Entity Type: Organization
Organization Name: Michael L. Komasinski
Primary Specialty: Optometrist
Enumeration Date: Apr 18, 2007
Last Updated: Nov 9, 2012

Practice Location

Address: 106 LEGACY PLZ W
City: La Porte
State: Indiana
ZIP Code: 46350-5298
Phone: (219) 362-2685

Authorized Official

Name: DR. MICHAEL L KOMASINSKI, O.D.
Title: DOCTOR
Phone: (219) 362-2685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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