Organization
CUNNINGHAM OPTICAL CO INC
Active
Other names
Cunningham Optical One
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA K BRADLEY (VICE PRESIDENT)
(765) 644-7222
Entity
Organization
Contact information
Practice address
5535 S SCATTERFIELD RD, ANDERSON, IN 46013-3140
(765) 644-7222
(765) 642-7608
Mailing address
5535 S SCATTERFIELD RD, ANDERSON, IN 46013-3140
(765) 644-7222
(765) 642-7608
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100172290A
—
IN
01
—
1212670002
MEDICARE NSC
IN
Enumeration date
09/26/2005
Last updated
04/26/2013
Update your record
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