Organization
EYE ASSOCIATES OF SOUTHERN INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA BOMAN (INSURANCE DIRECTOR)
(812) 590-6157
Entity
Organization
Contact information
Practice address
1356 N GARDNER ST, SCOTTSBURG, IN 47170-7750
(812) 752-2020
Mailing address
302 W 14TH ST, SUITE 100A, JEFFERSONVILLE, IN 47130-3751
(812) 284-0660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001510
IN
152W00000X
Optometrist
18001637
IN
152W00000X
Optometrist
18001655
IN
Other
Enumeration date
04/14/2008
Last updated
03/09/2016
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