| |
200 N Tillotson Ave, Muncie, IN 47304-3988 | |
(765) 286-8888 | |
(765) 966-2975 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 200 N Tillotson Ave, Muncie, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770816142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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200 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 286-8888 | 200 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 286-8888 |