Optometric Associates Of South Bend

NPI 1205907540 - Optometrist - 152W00000X

NPI Details
NPI 1205907540
Enumeration Date 11/10/2006
Last Updated 01/03/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS D. THOMAS
Position OWNER
Phone (574) 772-2012
Fax (574) 772-2221
Practice Location
1001 S EDGEWOOD DR
#5
KNOX IN, 46534-8269, US
Phone (574) 772-2012
Fax (574) 772-2221
Business Location
1001 S EDGEWOOD DR
#5
KNOX IN, 46534-8269, US
Phone (574) 772-2012
Fax (574) 772-2221
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
Remove 1205907540 NPI Number
 

According to our database, Optometric Associates Of South Bend NPI is 1205907540, taxonomy code is 152W00000X Optometric Associates Of South Bend physically located at 1001 S Edgewood Dr, Knox IN, 46534-8269. NPI Number 1033115704 has the healthcare provider type.

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1205907540 NPI number is provided on an as is basis without warranty of any kind. 1205907540 is maintained by the National Plan & Provider Enumeration System. The contents of Optometric Associates Of South Bend are for informational purposes only.