Organization
GLASSHOUSE OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LOUZON (OPTICAL MANAGER)
(908) 625-0809
Entity
Organization
Contact information
Practice address
1100 SOUTHFIELD DR, SUITE 1320, PLAINFIELD, IN 46168-4498
(317) 839-7300
Mailing address
30 N EMERSON AVE, GREENWOOD, IN 46143-8895
(317) 881-3937
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
IN
207W00000X
Ophthalmology Physician
Primary
—
IN
Other
Enumeration date
07/13/2015
Last updated
03/22/2017
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