Organization
BEYOND 20/20
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA L VAN SCYOC (OFFICE MANAGER)
(317) 462-6601
Entity
Organization
Contact information
Practice address
1451 JASON RD, GREENFIELD, IN 46140-1039
(317) 462-6601
(317) 462-6625
Mailing address
1451 JASON RD, GREENFIELD, IN 46140-1039
(317) 462-6601
(317) 462-6625
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
18003533A
IN
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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