Organization
SMITH-BRIDENSTINE MK CO LLC
Active
Other names
Smith-Bridenstine Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE E MCCORD M.D. (SHAREHOLDER)
(317) 845-1305
Entity
Organization
Contact information
Practice address
9007 E 17TH ST, INDIANAPOLIS, IN 46229-2016
(317) 845-1305
(317) 845-1372
Mailing address
6418 LANDBOROUGH SOUTH DR, INDIANAPOLIS, IN 46220-4357
(317) 845-1305
(317) 845-1372
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/24/2006
Last updated
05/16/2009
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