Individual
MRS. BETHANY I FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1001 MILLIS AVE, BOONVILLE, IN 47601-2239
(812) 897-5000
(812) 897-4539
Mailing address
1001 MILLIS AVE, BOONVILLE, IN 47601-2239
(812) 897-5000
(812) 897-4539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004443A
IN
Other
Enumeration date
09/06/2023
Last updated
10/05/2023
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