Gunderson Eyecare P.c.

NPI 1437102076 - Optometrist - 152W00000X

NPI Details
NPI 1437102076
Enumeration Date 05/17/2006
Last Updated 04/01/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KIMBERLY L KIMBERLY
Position OPTOMETRIST
Phone (812) 481-2100
Fax (812) 481-2144
Practice Location
255 W 36TH ST
SUITE 240
JASPER IN, 47546-7820, US
Phone (812) 481-2100
Fax (812) 481-2144
Business Location
255 W 36TH ST
SUITE 240
JASPER IN, 47546-7820, US
Phone (812) 481-2100
Fax (812) 481-2144
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 56000357A
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According to our database, Gunderson Eyecare P.c. NPI is 1437102076, taxonomy code is 152W00000X and license number is 56000357A, license state is located at Indiana. Gunderson Eyecare P.c. physically located at 255 W 36th St, Jasper IN, 47546-7820. NPI Number 1033115704 has the healthcare provider type.

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1437102076 NPI number is provided on an as is basis without warranty of any kind. 1437102076 is maintained by the National Plan & Provider Enumeration System. The contents of Gunderson Eyecare P.c. are for informational purposes only.