Organization
EYE ASSOCIATES OF SOUTHERN INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY C BLACK MD (OWNER)
(812) 284-0660
Entity
Organization
Contact information
Practice address
1919 STATE ST, SUITE 140, NEW ALBANY, IN 47150-4929
(812) 284-0660
(812) 284-3822
Mailing address
1919 STATE ST, SUITE 140, NEW ALBANY, IN 47150-4929
(812) 284-0660
(812) 284-3822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200013830
—
IN
Enumeration date
08/30/2005
Last updated
07/30/2024
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