Individual
CHASSIE A BROADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
401 HENRY ST, NORTH VERNON, IN 47265-1003
(812) 346-2020
(812) 346-4636
Mailing address
401 HENRY ST, NORTH VERNON, IN 47265-1003
(812) 346-2020
(812) 346-4636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003924A
IN
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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