Organization
CROSSTOWN OPTICAL
Active
Other names
Crosstown Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACIELA Z MOODY (PRESIDENT)
(765) 342-5497
Entity
Organization
Contact information
Practice address
990 S MARION ST, MARTINSVILLE, IN 46151-2438
(765) 342-5497
(765) 349-1922
Mailing address
990 S MARION ST, MARTINSVILLE, IN 46151-2438
(765) 342-5497
(765) 349-1922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001808B
IN
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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