Organization
THE TRUSTEES OF INDIANA UNIVERSITY
Active
Other names
I.U. School of Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS G. HORNER O.D. (DIRECTOR OF CLINICAL ADMINISTRATION)
(812) 855-4447
Entity
Organization
Contact information
Practice address
800 E ATWATER AVE, BLOOMINGTON, IN 47405-3635
(812) 856-5602
(812) 855-6116
Mailing address
800 E ATWATER AVE, BLOOMINGTON, IN 47405-3635
(812) 856-5602
(812) 855-6116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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