Organization
PROFESSIONAL EYECARE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D. IRVIN O.D. (OWNER)
(812) 426-2256
Entity
Organization
Contact information
Practice address
634 CROSS VALLEY CIR, EVANSVILLE, IN 47710-5238
(812) 426-2256
(812) 429-0392
Mailing address
634 CROSS VALLEY CIR, EVANSVILLE, IN 47710-5238
(812) 426-2256
(812) 429-0392
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200385820
—
IN
Enumeration date
01/18/2007
Last updated
11/23/2009
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