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Organization

EYE CENTER GROUP LLC

Active
Other names
Morrison Eye Center
Organization subpart
No

Provider details

NPI number
Authorized official
DORIAN F WINCONEK (CEO)
(765) 286-8888
Entity
Organization

Contact information

Practice address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 286-8888
(765) 747-7962
Mailing address
PO BOX 472, MUNCIE, IN 47308-0472
(765) 286-8888
(765) 747-7962

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
207W00000X
Ophthalmology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100339260S
IN
Enumeration date
02/15/2008
Last updated
06/27/2008
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