Organization
LISLE FAMILY EYE CARE INC
Active
Parent organization
LISLE FAMILY EYE CARE INC
Other names
The Eye Care Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
LISLE FAMILY EYE CARE INC
Authorized official
JAMES THOMAS LISLE OD (PRESIDENT)
(812) 352-6600
Entity
Organization
Contact information
Practice address
1125 MEDICAL PL, SEYMOUR, IN 47274-2639
(812) 522-1800
Mailing address
2580 MICHIGAN RD STE 2, MADISON, IN 47250-2492
(812) 352-6600
(812) 274-3116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027119
—
IN
Enumeration date
07/05/2019
Last updated
01/12/2024
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