Organization
ELITE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELDI E DESCHAMPS MD (PRESIDENT)
(219) 736-2200
Entity
Organization
Contact information
Practice address
8510 BROADWAY, MERRILLVILLE, IN 46410
(219) 756-5020
(219) 736-2222
Mailing address
8510 BROADWAY, MERRILLVILLE, IN 46410
(219) 756-5020
(219) 736-2222
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
03/05/2008
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