Organization
EYE ASSOCIATES OF SOUTHERN INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY BLACK MD (OWNER)
(812) 284-0660
Entity
Organization
Contact information
Practice address
1350 S JACKSON STREET, SALEM, IN 47167-7218
(812) 896-1717
Mailing address
1350 S JACKSON ST, SALEM, IN 47167-9190
(812) 896-1717
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
02/20/2013
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