Organization
I-CARE BLOOMINGTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A HOUSER O.D. (PRESIDENT)
(812) 325-3611
Entity
Organization
Contact information
Practice address
3205 W STATE ROAD 45, BLOOMINGTON, IN 47403-5107
(812) 333-8912
(812) 333-8918
Mailing address
3818 W WOODYARD RD, BLOOMINGTON, IN 47404-1430
(812) 325-3611
(812) 333-8918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003478
IN
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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