Organization
PRINCETON OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES THOMAS KOVERMAN (OWNER)
(812) 385-4712
Entity
Organization
Contact information
Practice address
1304 W BROADWAY ST, PRINCETON, IN 47670-1140
(812) 385-4712
Mailing address
1304 W BROADWAY ST, PRINCETON, IN 47670-1140
(812) 385-4712
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/21/2007
Last updated
08/22/2020
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