| |
3746 Rome Dr, Lafayette, IN 47905-4489 | |
(765) 449-3937 | |
(800) 882-3939 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3746 Rome Dr, Lafayette, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962483248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 472, Muncie, IN 47308-0472 Ph: (765) 449-3937 | 3746 Rome Dr, Lafayette, IN 47905-4489 Ph: (765) 449-3937 |