Organization
BARTLETT EYE CLINICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY M WOODRUFF (OFFICE MANAGER)
(574) 232-5955
Entity
Organization
Contact information
Practice address
332 N MICHIGAN ST, SOUTH BEND, IN 46601-1226
(574) 232-5955
Mailing address
332 N MICHIGAN ST, SOUTH BEND, IN 46601-1226
(574) 232-5955
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002552B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100409990
—
IN
Enumeration date
03/19/2009
Last updated
11/18/2009
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