Organization
CLARITI INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW MICHAEL FORNEFELD M.D. (PRESIDENT)
(812) 331-8181
Entity
Organization
Contact information
Practice address
481 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
(812) 331-8181
(812) 331-8180
Mailing address
481 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
(812) 331-8181
(812) 331-8180
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
01034586A
IN
Other
Enumeration date
09/10/2007
Last updated
12/19/2022
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