Dr Tavel Of Evansville, Llc

NPI 1205825700 - Optometrist - 152W00000X

NPI Details
NPI 1205825700
Enumeration Date 10/18/2005
Last Updated 06/17/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LARRY LARRY
Position PRESIDENT
Phone (812) 473-3730
Fax (317) 924-3741
Practice Location
139 BURKHARDT ROAD
EVANSVILLE IN, 47715, US
Phone (812) 473-3730
Fax (317) 924-3741
Business Location
2839 LAFAYETTE RD
INDIANAPOLIS IN, 46222-2147, US
Phone (317) 924-1300
Fax (317) 924-3741
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18003203
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According to our database, Dr Tavel Of Evansville, Llc NPI is 1205825700, taxonomy code is 152W00000X and license number is 18003203, license state is located at Indiana. Dr Tavel Of Evansville, Llc physically located at 139 Burkhardt Road, Evansville IN, 47715. NPI Number 1033115704 has the healthcare provider type.

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1205825700 NPI number is provided on an as is basis without warranty of any kind. 1205825700 is maintained by the National Plan & Provider Enumeration System. The contents of Dr Tavel Of Evansville, Llc are for informational purposes only.