Organization
HOUSTON PIERCE OPTICAL
Active
Organization
HOUSTON PIERCE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M GOFF ABOC (OFFICE MANAGER)
(260) 485-1631
Entity
Organization
Contact information
Practice address
6049 STELLHORN RD, FORT WAYNE, IN 46815-5357
(260) 485-1631
(260) 485-1632
Mailing address
6049 STELLHORN RD, FORT WAYNE, IN 46815-5357
(260) 485-1631
(260) 485-1632
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
Other
Enumeration date
07/07/2008
Last updated
12/09/2008
Update your record
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