Individual
DARLA HECK SACOPULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
325 W NATIONAL AVE, BRAZIL, IN 47834-2542
(812) 443-0060
(812) 446-5061
Mailing address
325 W NATIONAL AVE, BRAZIL, IN 47834-2542
(812) 443-0060
(812) 446-5061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002508A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18002508B
INDIANA OLDPAC LIC.
IN
01
—
5460840001
DMERC
IN
Enumeration date
08/31/2006
Last updated
07/08/2007
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