Northern Indiana Optometrists, PC

NPI #1841215738 in South Bend, Indiana

Provider Information

NPI Number: 1841215738
Entity Type: Organization
Organization Name: Northern Indiana Optometrists, PC
Primary Specialty: Optometrist
Enumeration Date: Jul 13, 2006
Last Updated: Oct 16, 2012

Practice Location

Address: 4123 S MICHIGAN ST
City: South Bend
State: Indiana
ZIP Code: 46614-2545
Phone: (574) 291-9200

Authorized Official

Name: TERRI PESCHKE
Title: COO
Phone: (574) 291-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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