Organization
GRANGER FAMILY EYECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA L. SVATOS O.D. (PRESIDENT)
(574) 247-1500
Entity
Organization
Contact information
Practice address
13197 STATE ROAD 23, GRANGER, IN 46530
(574) 247-1500
(574) 247-1505
Mailing address
13197 STATE ROAD 23, GRANGER, IN 46530
(574) 247-1500
(574) 247-1505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002580
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000277906
ANTHEM BCBS
IN
01
—
410049816
MEDICARE RAILROAD
IN
Enumeration date
01/31/2007
Last updated
07/27/2012
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