Organization
INDIANA PHYSICIANS EYECARE GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN CANTRELL (MANAGER OF HEALTH SERVICES)
(561) 208-8464
Entity
Organization
Contact information
Practice address
5415 N MAIN ST, MISHAWAKA, IN 46545-9044
(574) 271-2020
(574) 271-8962
Mailing address
1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL 33445-6326
(561) 275-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
08/08/2023
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