City Optical Co., Inc.

NPI #1891784971 in Elkhart, Indiana

Provider Information

NPI Number: 1891784971
Entity Type: Organization
Organization Name: City Optical Co., Inc.
Primary Specialty: Optometrist
Enumeration Date: Oct 20, 2005
Last Updated: May 7, 2024

Practice Location

Address: 206 CONCORD MALL DR
City: Elkhart
State: Indiana
ZIP Code: 46517-3154
Phone: (574) 875-4499

Authorized Official

Name: DR. LARRY S TAVEL, MD
Title: PRESIDENT
Phone: (317) 924-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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