Organization
DEARBORN OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY S. BRADSHAW (OFFICE MANAGER)
(812) 537-4733
Entity
Organization
Contact information
Practice address
694 W EADS PKWY, LAWRENCEBURG, IN 47025-1171
(812) 537-4733
(812) 537-3934
Mailing address
694 W EADS PKWY, LAWRENCEBURG, IN 47025-1171
(812) 537-4733
(812) 537-3934
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/25/2006
Last updated
04/18/2008
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