Organization
VALLEY OPTICAL II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD DWAINE CONARD (OWNER)
(812) 829-2291
Entity
Organization
Contact information
Practice address
400 E NATIONAL HWY, WASHINGTON, IN 47501-0798
(812) 254-6594
(812) 254-4099
Mailing address
PO BOX 798, 400 E NATIONAL HWY, WASHINGTON, IN 47501-0798
(812) 254-6594
(812) 254-4099
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200046280A
—
IN
Enumeration date
09/15/2006
Last updated
11/06/2012
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