Individual
DR. MICHAEL L. KOMASINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
106 LEGACY PLZ W, LAPORTE, IN 46350-5298
(219) 362-2685
(219) 362-5587
Mailing address
106 LEGACY PLZ W, LAPORTE, IN 46350-5298
(219) 362-2685
(219) 362-5587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002319
IN
Other
Enumeration date
10/18/2005
Last updated
06/13/2023
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