Organization
PARKE VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA M BRANSON (BUSINESS MANAGER)
(765) 569-2008
Entity
Organization
Contact information
Practice address
725 N LINCOLN RD, ROCKVILLE, IN 47872-1117
(765) 569-2008
(765) 569-2009
Mailing address
PO BOX 278, ROCKVILLE, IN 47872-0278
(765) 569-2008
(765) 569-2009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001654
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200954600
—
IN
Enumeration date
05/03/2007
Last updated
10/26/2016
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