Individual
DR. ALYSSA VANWERDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1105 S COLLEGE MALL RD, BLOOMINGTON, IN 47401-6177
(812) 333-2020
(812) 334-2020
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004339A
IN
Other
Enumeration date
07/25/2022
Last updated
08/15/2022
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