Organization
WHITEWATER EYE CENTERS LLC
Active
Other names
Randolph Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN T SCRIPTURE MD (PART OWNER/OFFICER)
(765) 962-2020
Entity
Organization
Contact information
Practice address
310 S OAK ST, WINCHESTER, IN 47394-2236
(866) 788-0001
(765) 966-2975
Mailing address
PO BOX 399, RICHMOND, IN 47375-0399
(765) 962-2020
(765) 966-2975
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200962480A
—
IN
Enumeration date
08/25/2009
Last updated
10/10/2016
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