| |
1057 A St Nw, Linton, IN 47441-6665 | |
(812) 847-8615 | |
(812) 847-8616 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1057 A St Nw, Linton, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437573862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18001899 (Indiana) | Secondary |
207W00000X | Ophthalmology | 01060284 (Indiana) | Primary |
Mailing Address | Practice Location Address |
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9795 Crosspoint Blvd, Ste 100, Indianapolis, IN 46256-3354 Ph: (317) 254-6480 | 1057 A St Nw, Linton, IN 47441-6665 Ph: (812) 847-8615 |