Myeyedr Optometry Of Indiana, LLC
Optometrist in Michigan City, IN. Organization (NPI-2).
NPI number1982190328
StatusActive
Last updated in NPPESMay 27, 2022
Details
- NPI
- 1982190328
- Entity type
- Organization (NPI-2)
- Legal business name
- Myeyedr Optometry Of Indiana, LLC
- Organization subpart
- No
- Enumeration date
- Jul 9, 2018
- Certification date
- May 27, 2022
- Last updated
- May 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Myeyedr. (Doing Business As)
Practice location
3701 Franklin StMichigan City, IN 46360-7310
Phone 219-872-8844 · Fax 219-874-2872
Mailing address
8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442
Phone 703-847-8899 · Fax 571-223-6780
Authorized official
Sue Downs
Secretary
7038478899
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