Family Eye Care of South Bend

NPI #1902944325 in South Bend, Indiana

Provider Information

NPI Number: 1902944325
Entity Type: Organization
Organization Name: Family Eye Care of South Bend
Primary Specialty: Optometrist
Enumeration Date: Feb 1, 2007
Last Updated: Dec 21, 2007

Practice Location

Address: 220 NORTH IRONWOOD
City: South Bend
State: Indiana
ZIP Code: 46615-1623
Phone: (157) 428-7088

Authorized Official

Name: DR. ROBERT LESLIE PROUDFIT, O.D.
Title: OWNER
Phone: 15742893937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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