| |
350 S Van Buren St, Ste. 2b, Shipshewana, IN 46565-9197 | |
(260) 768-7721 | |
(260) 768-7721 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 350 S Van Buren St, Shipshewana, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508937855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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350 S Van Buren St, Ste. 2b, Shipshewana, IN 46565-9197 Ph: (260) 768-7721 | 350 S Van Buren St, Ste. 2b, Shipshewana, IN 46565-9197 Ph: (260) 768-7721 |