Organization
SUPERIOR VISION, LLC
Active
Organization
SUPERIOR VISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANNE E PORTER (O.D./PRESIDENT)
(812) 320-4362
Entity
Organization
Contact information
Practice address
10922 E COUNTY ROAD 800 S STE A, CAMBY, IN 46113-9161
(317) 856-2000
(317) 865-2000
Mailing address
8190 WINDFALL LN, STE C, CAMBY, IN 46113-7906
(317) 856-2000
(317) 865-2000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
18002637B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200893590
—
IN
Enumeration date
01/18/2008
Last updated
11/11/2019
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