Individual
NICHOLAS E. BANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13840 E 96TH ST, MCCORDSVILLE, IN 46055-9394
(317) 720-2020
(317) 886-7955
Mailing address
2887 S STATE ROAD 135, GREENWOOD, IN 46143-9604
(317) 865-6829
(317) 886-7955
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004499A
IN
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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