Organization
MITCHELL EYEWEAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VONDA L HEVERLY O.D. (PRESIDENT)
(812) 849-4385
Entity
Organization
Contact information
Practice address
527 W MAIN ST, MITCHELL, IN 47446-1410
(812) 849-4385
(812) 849-0078
Mailing address
527 W MAIN ST, MITCHELL, IN 47446-1410
(812) 849-4385
(812) 849-0078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002881
IN
Other
Enumeration date
10/06/2006
Last updated
06/17/2008
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