Individual
DR. JOHN J OFFERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17477 GENERATIONS DR, SOUTH BEND, IN 46635-1584
(574) 287-0890
(574) 287-0899
Mailing address
17477 GENERATIONS DR, SOUTH BEND, IN 46635-1584
(574) 287-0890
(574) 287-0899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001874
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091030B
—
IN
05
—
200247660
—
IN
Enumeration date
06/16/2005
Last updated
07/08/2007
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