Dr. James Lars Wellington Jr., O.D.
Optometrist in Goshen, IN. Individual provider (NPI-1).
NPI number1104938547
StatusActive
Last updated in NPPESJul 28, 2010
Details
- NPI
- 1104938547
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Lars Wellington Jr.
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 28, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 18002859 | IN | Yes |
Practice location
116 W Washington StGoshen, IN 46526-3729
Phone 574-533-7345 · Fax 574-533-5683
Mailing address
116 W Washington StGoshen, IN 46526-3729
Phone 574-533-7345 · Fax 574-533-5683
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All 14 Optometrist providers in Goshen · All 1,111 providers in Goshen
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