| |
3550 E 10th St, Jeffersonville, IN 47130-9315 | |
(812) 590-6810 | |
(812) 590-6762 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 3550 E 10th St, Jeffersonville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255974481 | NPI | - | NPPES |
300024371 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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4000 Poplar Level Rd, Louisville, KY 40213-1524 Ph: (502) 459-2020 | 3550 E 10th St, Jeffersonville, IN 47130-9315 Ph: (812) 590-6810 |