Organization
VISION LEARNING CENTER OF TERRE HAUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA E. JUDSON O.D. (OWNER)
(812) 232-1000
Entity
Organization
Contact information
Practice address
3630 S 4TH ST, TERRE HAUTE, IN 47802-5543
(812) 232-1000
(812) 232-1007
Mailing address
3630 S 4TH ST, TERRE HAUTE, IN 47802-5543
(812) 232-1000
(812) 232-1007
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
18003213A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255367686
PROVIDER NPI
IN
Enumeration date
09/16/2008
Last updated
05/19/2010
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