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Individual

MERLE K PICKEL JR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
50 WILLOW ST, SUITE A, NASHVILLE, IN 47448-7013
(812) 988-4937
(812) 988-2110
Mailing address
50 WILLOW ST STE A, NASHVILLE, IN 47448-7063
(812) 988-4937
(812) 988-2110

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001529B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000083711
ANTHEM
IN
05
100066500A
IN
01
410005190
RAILROAD MEDICARE
IN
Enumeration date
08/19/2005
Last updated
03/31/2014
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