Balog Bremen Vision Center P C

NPI #1922104660 in Bremen, Indiana

Provider Information

NPI Number: 1922104660
Entity Type: Organization
Organization Name: Balog Bremen Vision Center P C
Primary Specialty: Optometrist
Enumeration Date: Sep 16, 2006
Last Updated: Jan 22, 2008

Practice Location

Address: 1425 W PLYMOUTH ST
City: Bremen
State: Indiana
ZIP Code: 46506-1951
Phone: (574) 546-3820

Authorized Official

Name: DR. CAROLYN M BALOG, O.D.
Title: PRESIDENT
Phone: (574) 546-3820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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