Individual
JOSEPH P DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
610 WEST 11TH STREET, BICKNELL, IN 47512-9600
(812) 735-4834
(812) 735-4932
Mailing address
610 W 11TH ST, BICKNELL, IN 47512-9627
(812) 735-4834
(812) 735-4932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002783
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200070850
—
IN
01
—
410036600
RRMEDICARE
IN
Enumeration date
08/22/2005
Last updated
06/25/2013
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