Organization
CORY EYECARE PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM P CORY OD (OWNER)
(219) 762-4801
Entity
Organization
Contact information
Practice address
6509 CENTRAL AVE, PORTAGE, IN 46368-3101
(219) 762-4801
(219) 764-9974
Mailing address
6509 CENTRAL AVE, PORTAGE, IN 46368-3101
(219) 762-4801
(219) 764-9974
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/13/2008
Last updated
01/14/2009
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