Organization
SOUTHSIDE CENTER FOR SIGHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BAUER PESAVENTO MD (OWNER)
(317) 215-2833
Entity
Organization
Contact information
Practice address
701 E COUNTY LINE ROAD, SUITE 202, GREENWOOD, IN 46143-1071
(317) 215-2833
(317) 215-2838
Mailing address
701 E COUNTY LINE ROAD, SUITE 202, GREENWOOD, IN 46143-1071
(317) 215-2833
(317) 215-2838
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IN
Other
Enumeration date
09/08/2015
Last updated
03/31/2016
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