John C Siegltiz

NPI #1780910497 in Vevay, Indiana

Provider Information

NPI Number: 1780910497
Entity Type: Organization
Organization Name: John C Siegltiz
Primary Specialty: Optometrist
Enumeration Date: Oct 30, 2009
Last Updated: Oct 30, 2009

Practice Location

Address: 121 W MAIN ST
City: Vevay
State: Indiana
ZIP Code: 47043-1125
Phone: (812) 427-2717

Authorized Official

Name: DR. JOHN C SIEGLTIZ, O.D.
Title: OWNER
Phone: (812) 427-2717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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