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Organization

HOMETOWN OPHTHALMOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SALLY G PRIMUS MD (PHYSICIAN/OWNER)
(812) 616-2020
Entity
Organization

Contact information

Practice address
641 S HEBRON AVE, EVANSVILLE, IN 47714-4048
(812) 616-2020
(812) 616-1400
Mailing address
641 S HEBRON AVE, EVANSVILLE, IN 47714-4048
(812) 616-2020
(812) 616-1400

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
261QS0132X
Ophthalmologic Surgery Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114292208
NPI
IN
Enumeration date
04/03/2021
Last updated
05/12/2026
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